Acne vulgaris is a problem that is encountered by most of us during the teens and it is quite disturbing when it is severe in terms of disfigurement of face. It may lead to severe psychological trauma and may also lead to decreased self confidence, low self esteem at a vulnerable time in life. Almost every teenager faces this problem in some severity or the other. Some forms of acne like nodular and pustular acne are troublesome in terms of pain and looks as they may lead a scar mark after they heal on the face or trunk. It affects boys more than girls though girls tend to have more hormonal fluctuations than boys in teens.
Girls get them more during their premenstrual period though they may have them regularly. Acne is often associated with ailments like PCOS, Cushing’s disease and also seen as a side effect of Hormone replacement therapy generally used to regularize the menstrual cycle in women and also with some anabolic steroidal treatment.
Teenagers usually comes with acne Commonly associated in teenagers who have greasy skin, who doesn’t manage good hygiene. Youngsters are presented with acne of different forms in different individuals. Sometimes, different forms of acne may present in one individual itself. There are different types of acne like Nodular cystic acne, papular acne, pustular acne. Nodular acne being larger, solid acne that may be more painful and may heal with big scar and occasionally big post acne pit leading disfigurement of face or trunk,back, shoulders wherever they get it. Pustular acne are pus filled and may heal with lesser scar than the nodular acne but often may catch secondary infection.
Popular acne are smaller form of acne that are less painful and heal with very minimal scarring or no scarring. Acne are usually complicated when the individual manipulates it out of anxiety. The face is affected with acne in about 90% to 91% of the individuals then the upper back and then the upper chest. It has variable severity and fluctuates in the same individual at different occasions. Common conditions that look like acne are acne rosacea, folliculitis, milia, pustular dermatitis etc.
Management: Usually acne are self limiting. It doesn’t warrant treatment when one gets one or two lesions. But if one has more numbers and severe treatment is inevitable. Washing the face with simple soap and water two times a day will help curing acne faster but be cautious about too much cleaning may be counterproductive and may complicate in some. Avoid taking food rich in high glycaemic content and those containing huge amount of milk products may aggravate the acne.
Acne can be seen more in those individuals who have no exposure to sunlight. Homeocare International has homeopathic treatment for acne that has proven medication which does not have any side effect of any sort and gives permanent solution to acne problem. Want to discuss your problem with our doctor live online please log on to “Cyber clinic live chat” and free suggestions and tips to help you overcome this problem.
Acne is the classic stigma of adolescence and has been viewed as a normal physiologic reaction in the skin. The increase in size of the sebaceous glands and the concomitant increased amount of sebum secretion during adolescence are physiologic, but the inflammatory changes of true acne represent a disease which may be extraordinarily chronic and sometimes produce severe residual physical and psychological scarring which may be lifelong.
The basic cause of acne is still unknown but four major pathogenetic factors are : (a) increased sebum production, (b) abnormality of the microbial flora, (c) hyperkeratinisation of the pilosebaceous duct and (d) inflammation. Genetic and racial factors also play a role in the development of acne.
Acne vulgaris is most common during the second and third decades of life. Boys tend to have more severe acne and a little later in life as compared to girls. Both the incidence and severity of the disease decline in about 80% of the patients by their mid 20s. Acne Is a polymorphic disease characterised by comedones, papules, pustules, nodules and cysts occurring predominantly on the face and less so on the back and chest (see colour atlas). Nodules and cysts are particularly disfiguring and are often associated with scarring.
Various foods like chocolates, ice cream, pork fat, etc. have been implicated to make acne worse, without any scientific proof. Mental stress and menstruation have been known to produce flare-up of the lesions.
It is a chronic disorder of the face in middle-aged and older persons, characterised by a vascular component with or without an acneiform component. The disease is more common in women, but men have more severe disease.
Many factors have been alleged to initiate or aggravate rosacea, e.g. overindulgence in tea, coffee, other drinks, tobacco, alcoholic beverages, spiced food, etc. The same may be said for focal infection, avitaminosis, disease of the digestive system and endocrine abnormalities.
Clinically, rosacea may begin with a prominent flush limited to the lower half of the nose or may include the blush area of the face, then chin and the central forehead. Later on, telangiectasia appear. In the more advanced state the skin is oily; there are papules, pustules, nodules and cysts but no comedones. The eruption is usually restricted to the central one-third of the face. Rhinophyma, which represents the thickened, lobulated overgrowth of sebaceous gland, may be the only expression in some cases. Ocular involvement is the most serious complication. Blepharitis, conjunctivitis, episcleritis, iritis and keratitis may occur.
The course of rosacea is one of chronicity and gradual progression; spontaneous remission is uncommon. Treatment consists of avoidance of factors that cause flushing and vasodilatation, topical antiacne medications, systemic tetracyclines, metronidazole, etc. Electrolysis or superficial electrodesiccation for large telangiectatic vessels and surgical treatment of rhinophyma are other therapeutic modalities.
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